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Vol. 286, Issue 2, 635-642, August 1998
Albert Einstein College of Medicine, Bronx, New York
Endothelin-1 (ET-1) is an important modulator of vasomotor tone that is
thought to participate in the etiology of cardiovascular disease by
virtue of its ability to amplify the contractile responses of vascular
smooth muscle cells to the effects of other vasoactive agents. Despite
this fact, few studies have quantitated the expected contribution of
ET-1 to the enhanced contractile responses elicited in the presence of
another spasmogen. As a first step in this direction, ET-1 and
phenylephrine (PE) were used to evaluate the effects of co-activation
of the ETA/B or alpha-1 adrenergic
receptors, respectively, on contractile responses in isolated rings of
rabbit aorta, mesenteric and femoral artery, or strips of corporal
tissue. Cumulative steady-state concentration-response curves (CRCs)
were constructed to PE alone before the construction of a CRC to ET-1 alone, or a mixture of PE and ET-1 using a previously described drug
concentration paradigm. Computer fits of the logistic equation to CRC
data revealed that in all vascular tissues examined, the partial
substitution of PE with ET-1 was associated with a significant vessel-dependent
3- to 30-fold leftward shift in the CRC (P < .01, Student's t test for paired samples), as judged by
a significant increase in the pEC50 (negative logarithm of
the concentration of drug that elicits one-half of the calculated
maximal effect), in the absence of any detectable effect on the
calculated maximal contractile response (Emax) or the slope
factor (
). A theoretical CRC constructed using the Pöch and
Holzmann method for equiactive substitution demonstrated that the
responses to mixtures of PE and ET-1 were often the result of simple
additivity of agonist effects in these preparations, and thus, were
"expected" based on detailed knowledge of the individual effects of
these two agonists. Regardless of the precision of the Poch and
Holzmann CRC in predicting the effects of this drug mixture in these
vascular tissues, comparison of the "expected" contractile response
with the "observed" response represents an important first step
toward establishing a more uniform nomenclature for describing the
physiological/pathophysiological effects of mixtures of drugs on
diverse vasculature.
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